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Would a Nursing Home Physician Specialty Resolve the Workforce Crisis in Long-Term Care?
- Paul R. Katz, MD;
- Jurgis Karuza, PhD; and
- Vincent Mor, PhD
- From University of Rochester School of Medicine and Dentistry, Rochester NY, 14620, and Brown University School of Medicine, Providence, RI 02912.
IN RESPONSE:
Although the authors of these letters seem to agree about the need for physicians with the knowledge and skill set unique to nursing home care, they each describe several challenges, including the complex organizational, quality improvement, team management, and regulatory interface that is required.
Dr. Phillips and Dr. Villa note that the industry must take a central role in defining the priorities for medical practice. A first step is establishing quality metrics, such as preventing rehospitalization and assuring seamless care transitions. As Dr. Phillips suggests, full system reform …
